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KAILANI COUNSELING & WELLNESS, PLLC

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Company Details

Legal Name: KAILANI COUNSELING & WELLNESS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 6th 2020
Expiration date: 28 Feb 2026
UBI Number: 604 576 956
ZIP code: 98034
City: Kirkland
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12220 113TH AVE NE STE 210, KIRKLAND, WA, 98034-6950, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 65345, TACOMA, WA, 98464-1345, UNITED STATES

Contact Details

E-Mail: CHELSEA.LYE@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role Address
CHELSEA LYE Executor PO BOX 1902, POULSBO, WA, 98370-0280, UNITED STATES
CHELSEA LYE Governing Person -

National Provider Identifier

NPI Number:
1013537265
Certification Date:
2024-09-16

Authorized Person:

Name:
CHELSEA LYE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2063391550
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